CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
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1 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 7 3 CANDIDATE / MS / MRS / MR FIRST MI OFFICEHOLDER NAME Mr Alex NICKNAME LAST SUFFIX Dickey Date Received OFFICE USE ONLY 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING ADDRESS 3134 Lockmoor Lane Change of Address Dallas TX CANDIDATE/ OFFICEHOLDER PHONE AREA CODE PHONE NUMBER EXTENSION ( ) Date Hand-delivered or Date Postmarked 6 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Dr Manjit NICKNAME LAST SUFFIX Sanghera Receipt # Amount Date Processed Date Imaged 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 3134 Lockmoor Lane Dallas TX CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( ) 9 REPORT TYPE January 15 X 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 8th day before election Exceeded 500 limit Final Report (Attach C/OH - FR) 10 PERIOD COVERED Month Day Year Month Day Year THROUGH ELECTION ELECTION DATE ELECTION TYPE Month Day Year X Primary General Runoff Special Other 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) Council District 6 GO TO PAGE 2
2 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME 15 Filer ID Mr Alex Dickey 16 NOTICE FROM POLITICAL COMMITTEE(S) (Ethics Commission Filers) THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH S. COMMITTEE TYPE COMMITTEE NAME GENERAL SPECIFIC COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTALS 3. TOTAL POLITICAL S OF 100 OR LESS, UNLESS ITEMIZED TOTAL POLITICAL S CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. ***ELECTRONICALLY CERTIFIED*** Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said, Mr Alex Dickey this the 5th day of, April 20, 17 to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
3 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Alexander Dickey Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS 3, SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 5. SCHEDULE F1: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 1, SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. SCHEDULE F4: S MADE BY CREDIT CARD 9. SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH 11. SCHEDULE I: NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TILER
4 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 2 FILER NAME Mr Alex Dickey 1 Total pages Schedule A1: 1 of 3 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution () 02/23/2017 Mr Timothy W DICKEY Lockmoor Lane Dallas, TX Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () 02/23/2017 Mr Michael Grotty Luzon Road Irving, TX Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () Dr Cas Milner 02/27/ Beechwood Lane Dallas, TX Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () Ms Mary Villanueva 02/28/ Brockbank Dr Dallas, TX If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
5 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 2 FILER NAME Mr Alex Dickey 1 Total pages Schedule A1: 2 of 3 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution () 02/28/2017 Dr Manjit K Sanghera Lockmoor Lane Dallas, TX Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () 03/08/2017 Paula and Scott Larsen Hawthorne Ave Suite 3 Dallas, TX Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () Eddie Vernon 03/10/ North Britain Rd Irving, TX Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () Melanie & David Voss 03/15/ Oriole Dr. Dallas, TX If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
6 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 2 FILER NAME Mr Alex Dickey 1 Total pages Schedule A1: 3 of 3 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution () 03/16/2017 Michael Cintron Darvany Dr. Dallas, TX Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () 03/18/2017 Karli and Tim Danielsen East Villanova Place Denver, CO Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution () If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
7 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 Accounting/Banking Consulting Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee Credit Card Payment CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 1 Total pages Schedule F1: 2 FILER NAME 3 1 of 2 Mr Alex Dickey 4 Date 5 Payee name 02/25/2017 Paypal Filer ID (Ethics Commission Filers) 6 Amount () 7 Payee address; City; State; Zip Code North First Street San Jose, CA (a) Category (See Categories listed at the top of this schedule) Fees (b) Paypal fees 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name 03/03/2017 Fed-EX Office Amount () Payee address; City; State; Zip Code N Stemmons Fwy A Dallas, TX Category (See Categories listed at the top of this schedule) 250 vertical flat invitation cards - 4" x 8" Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name 03/03/2017 First Graphics Services Inc., Amount () Payee address; City; State; Zip Code Garvon St Garland, TX Category (See Categories listed at the top of this schedule) deposit for (1) ins x 24 ins white Corplast signs (2 ) 25-2ft x 3ft white Corplast signs (3) 105 wire stakes Complete ONLY if direct Candidate / Officeholder name Office sought Office held
8 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 Accounting/Banking Consulting Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee Credit Card Payment CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 1 Total pages Schedule F1: 2 FILER NAME 3 2 of 2 Mr Alex Dickey 4 Date 5 Payee name 03/13/2017 First Graphics Services Inc., Filer ID (Ethics Commission Filers) 6 Amount () 7 Payee address; City; State; Zip Code Garvon St Garland, TX (a) Category (See Categories listed at the top of this schedule) (b) Final payment for (1) ins x 24 ins white Corplast si (2) 25-2ft x 3ft white Corplast signs (3) 105 wire stak es gns 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name 03/16/2017 Kwik Kopy Amount () Payee address; City; State; Zip Code Sherry Lae Dallas, TX Category (See Categories listed at the top of this schedule) 1000 copies of 8.25 x 3.75 white 100# gloss cover, color pri nting on 2 sides Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name 03/22/2017 Kwik Kopy Amount () Payee address; City; State; Zip Code Sherry Lane Dallas, TX Category (See Categories listed at the top of this schedule) 500 English/Spanish 8.25 x 3.75 white 100# gloss cover, prin ting on 2 sides Complete ONLY if direct Candidate / Officeholder name Office sought Office held
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